HEMODYNAMIC STATE DURING SPINAL AND EPIDURAL ANESTHESIA IN PATIENTS WITH INCREASED BODY MASS INDEX DURING COLOPROCTOLOGICAL SURGERY

Аннотация

Objective: to assess the hemodynamic status and anesthetic efficacy of SA and EA in patients with elevated BMI and obesity with preserved coronary reserves during coloproctological operations. Methods: 38 patients with a BMI of 25-34.9 kg/m2 with intact coronary reserves were under observation, in whom the status of the hemodynamic system was assessed depending on the degree of obesity. Results: The data obtained indicate a moderate activation of the sympathoco-adrenaline and hypothalamic-pituitary and adrenocortical apparatus systems in response to surgical injuries, which indicates the effectiveness of the applied variants of regional blockade. No complications were observed with the use of central neuraxial blocks. Postoperative epidural analgesia ensured smooth dynamics of the immediate postoperative periods and helped to reduce the period of rehabilitation of patients. Conclusions. Approved variants of central neuraxial blockades provide hemodynamic stability throughout the operation and are quite acceptable for anesthetic management of coloproctological operations in patients with a BMI of 25-34.9 kg/m2 and preserved coronary reserves.